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Magnetic Resonance Imaging REQUISITION (MRI)MRI Booking (403)5411200 MRI Fax (403) 2108377100, 2000 Veterans Place NW, Calgary, AB T3B 4N2 BOOKING PROTOCOL Physician office to Fax to EFA Radiology
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How to fill out magnetic resonance imagingrequisition

01
To fill out a magnetic resonance imaging (MRI) requisition form, follow these steps:
02
Start by providing your personal information, including your name, date of birth, and contact details.
03
Next, provide details about the referring physician, such as their name, address, and contact information.
04
Fill in the clinical history section, providing relevant information about your current condition and any previous diagnoses or treatments.
05
Specify the type of MRI scan required by selecting the appropriate checkboxes or providing additional details if necessary.
06
Make note of any contraindications or precautions that should be taken during the scan.
07
Indicate any specific instructions or requirements for the radiology department, such as the need for sedation or contrast agents.
08
Sign and date the requisition form to confirm your consent and understanding of the procedure.
09
Ensure that all the information provided is accurate and legible to avoid any delays or misunderstandings.
10
Submit the completed form to the appropriate healthcare provider or radiology department.

Who needs magnetic resonance imagingrequisition?

01
A magnetic resonance imaging (MRI) requisition form is needed by patients who require an MRI scan as part of their diagnostic or treatment process.
02
This may include individuals who have been referred by their primary care physician or specialized healthcare professionals, such as surgeons, oncologists, or neurologists.
03
MRI scans are commonly used to evaluate various medical conditions, including neurological disorders, musculoskeletal injuries, cardiovascular diseases, and tumors.
04
Therefore, patients who are suspected or diagnosed with such conditions may require a magnetic resonance imaging requisition form.
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A magnetic resonance imaging requisition is a form used to request an MRI scan for a patient.
Medical professionals such as doctors, specialists, or healthcare providers are required to file a magnetic resonance imaging requisition.
The requisition form must be filled out with the patient's information, reason for the MRI scan, any relevant medical history, and the ordering physician's details.
The purpose of a magnetic resonance imaging requisition is to request an MRI scan for diagnostic purposes.
The requisition form should include the patient's name, date of birth, reason for the MRI scan, relevant medical history, and the ordering physician's details.
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